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Thoracic splanchnic nerves

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Nerve: Thoracic splanchnic nerves
The right sympathetic chain and its connections with the thoracic, abdominal, and pelvic plexuses. (Splanchnic nerves labeled at left.)
Abdominal portion of the sympathetic trunk, with the celiac and hypogastric plexuses.
Gray's subject #217 981
MeSH A08.800.050.050.800

Thoracic splanchnic nerves arise from the sympathetic trunk in the thorax and travel inferiorly to provide sympathetic innervation to the abdomen. The nerves contain preganglionic sympathetic and visceral afferent fibers.

There are three main thoracic splanchnic nerves:

  • The greater splanchnic nerve arises from the fifth through ninth thoracic ganglia of the sympathetic trunk. The nerve travels through the diaphragm and enters the abdominal cavity, where its fibers synapse at the celiac ganglia. The nerve contributes to the celiac plexus, a network of nerves located in the vicinity of where the celiac trunk branches from the abdominal aorta. The fibers in this nerve modulate the activity of the enteric nervous system of the foregut. They also provide the sympathetic innervation to the adrenal medulla, stimulating catecholamine release.
  • The lesser splanchnic nerve arises from the tenth through twelth thoracic ganglia of the sympathetic trunk. The nerve travels inferiorly, lateral to the greater splanchnic nerve. Its fibers synapse with their postganglionic counterparts in the celiac ganglia, or in the aorticorenal ganglion. The nerve modulates the activity of the enteric nervous system of the midgut.
  • The least splanchnic nerve arises from the twelfth thoracic to second lumbar ganglia of the sympathetic trunk. The nerve travels into the abdomen, where its fibers synapse in the renal ganglia.

The nerve's origins can be remembered by the 5-4-3 rule. (T5-T9. T9-T12. T12-L2 for greater, lesser, and least respectively)

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Autonomic nervous system
sympathetic nervous system: sympathetic trunks (white ramus communicans, gray ramus communicans) - collateral ganglia

cavernous plexus - cervical ganglia: (superior, middle, inferior) - splanchnic nerves: (thoracic, lumbar, sacral) - ganglion impar

internal carotid - cardiac

celiac: celiac ganglia - aorticorenal - renal - spermatic/ovarian - superior mesenteric - aortic plexus - inferior mesenteric - hepatic - splenic - gastric - pancreatic - suprarenal

hypogastric: superior hypogastric - inferior hypogastric - vesical - prostatic - uterovaginal

parasympathetic nervous system: ciliary ganglion (short ciliary nerves) - pterygopalatine ganglion (nerve of pterygoid canal) - submandibular ganglion - otic ganglion - pelvic splanchnic

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